The effect of a low-level psychological intervention (PM+) on post-migration living difficulties – Results from two studies in Switzerland and in the Netherlands

Aims of the study After arriving in host countries, most refugees are confronted with numerous post-migration stressors (e.g., separation from family, discrimination, and employment difficulties). Post-migration living difficulties (PMLDs) significantly contribute to the development and persistence of mental disorders. Effective treatment approaches focusing on reducing post-migration stress are urgently needed. The aim of the present study was to examine the effect of a brief psychological intervention, Problem Management Plus (PM+), on PMLDs among Syrian refugees in two European countries. M... Mehr ...

Verfasser: Spaaij, Julia
De Graaff, Anne M.
Akhtar, Aemal
Kiselev, Nikolai
McDaid, David
Moergeli, Hanspeter
Pfaltz, Monique c.
Schick, Matthis
Schnyder, Ulrich
Bryant, Richard a.
Cuijpers, Pim
Sijbrandij, Marit
Morina, Naser
Dokumenttyp: Artikel
Erscheinungsdatum: 2023
Schlagwörter: RA0421 Public health. Hygiene. Preventive Medicine / H Social Sciences / RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26809578
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://eprints.lse.ac.uk/120256/

Aims of the study After arriving in host countries, most refugees are confronted with numerous post-migration stressors (e.g., separation from family, discrimination, and employment difficulties). Post-migration living difficulties (PMLDs) significantly contribute to the development and persistence of mental disorders. Effective treatment approaches focusing on reducing post-migration stress are urgently needed. The aim of the present study was to examine the effect of a brief psychological intervention, Problem Management Plus (PM+), on PMLDs among Syrian refugees in two European countries. Methods We merged data from two single-blind feasibility trials with Syrian refugees experiencing elevated levels of psychological distress and impaired functioning in Switzerland (N = 59) and the Netherlands (N = 60). Participants were randomised to receive either five sessions of PM+ or an enhanced care-as-usual control condition. PMLDs were assessed at baseline and 3 months after the intervention. To estimate treatment effect on PMLD, linear mixed model analysis was performed. Results Three months after the intervention, participants in the PM+ condition reported significantly fewer PMLDs compared to the control condition. Further analyses at item-level showed that interpersonal and family related PMLDs, such as “worries about family back home” significantly improved over time in the PM+ condition. Conclusions This exploratory study suggests that brief psychological interventions have the potential to reduce PMLDs in refugees and asylum seekers. The reduction of post-migration stress in turn may subsequently lead to an overall reduction in psychological distress. Clinical Trial Numbers: BASEC Nr. 2017–0117 (Swiss trial) and NL61361.029.17, 7 September 2017 (Dutch trial).